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Published on: March 2, 2018
Using Sibling Designs to Understand Neurodevelopmental Disorders: From Genes and Environments to Prevention
Mark Wade1, Heather Prime1, Sheri Madigan2
1Department of Applied Psychology and Human Development, University of Toronto, 252 Bloor Street W., Toronto, ON, Canada M5S 1V6.
Insights
Genetically informed sibling designs reveal insights into autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD). These studies highlight genetic and environmental factors impacting neurodevelopment and suggest siblings of affected children may also experience subtle impairments.
Area of Science:
- Developmental Neuroscience
- Behavioral Genetics
- Child Psychiatry
Background:
- Neurodevelopmental disorders significantly impact child wellbeing and family life.
- Autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD) are common conditions with complex etiologies.
- Understanding the genetic and environmental influences is crucial for effective management.
Purpose of the Study:
- To review the utility of genetically informed sibling designs in studying neurodevelopmental disorders.
- To explore how twin, recurrence risk, and infant prospective studies inform our understanding of ASD and ADHD.
- To discuss the implications for early screening, prevention, and intervention strategies.
Main Methods:
- Review of evidence from twin studies, recurrence risk studies, and infant prospective tracking studies.
- Analysis of how these designs elucidate genetic and environmental liabilities.
- Examination of impacts on neurocognitive processes and neuroanatomy.
Main Results:
- Genetically informed sibling designs are valuable for understanding the pathogenesis of ASD and ADHD.
- These designs reveal the interplay of genetic and environmental factors contributing to neurodevelopmental morbidity.
- Siblings of children with ASD and ADHD may exhibit subthreshold symptoms or subtle neurocognitive impairments.
Conclusions:
- Sibling designs offer critical insights into the nature and transmission of neurodevelopmental disorders.
- Findings underscore the increased risk for neurocognitive and psychosocial challenges in siblings.
- The practical relevance of sibling designs supports the development of targeted early screening and intervention programs.
Abstract:
Neurodevelopmental disorders represent a broad class of childhood neurological conditions that have a significant bearing on the wellbeing of children, families, and communities. In this review, we draw on evidence from two common and widely studied neurodevelopmental disorders-autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD)-to demonstrate the utility of genetically informed sibling designs in uncovering the nature and pathogenesis of these conditions. Specifically, we examine how twin, recurrence risk, and infant prospective tracking studies have contributed to our understanding of genetic and environmental liabilities towards neurodevelopmental morbidity through their impact on neurocognitive processes and structural/functional neuroanatomy. It is suggested that the siblings of children with ASD and ADHD are at risk not only of clinically elevated problems in these areas, but also of subthreshold symptoms and/or subtle impairments in various neurocognitive skills and other domains of psychosocial health. Finally, we close with a discussion on the practical relevance of sibling designs and how these might be used in the service of early screening, prevention, and intervention efforts that aim to alleviate the negative downstream consequences associated with disorders of neurodevelopment.
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